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Jurnal Studi Keperawatan
Published by Poltekkes Kemenkes Semarang
ISSN : -     EISSN : 27229289     DOI : https://doi.org/10.31983/j-sikep.v1i1.5644
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Studi Keperawatan (J-SiKep) covers all nursing area including basic research in nursing, management nursing, emergency, and critical nursing, medical-surgical nursing, mental health nursing, maternity nursing, pediatric nursing, gerontological nursing, community nursing, family nursing education nursing, complementary and alternative medicine (CAM) in nursing.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 87 Documents
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Pengaruh Range of Motion (ROM) Aktif Terhadap Fleksibilitas Sendi Lutut Pada Lanjut Usia Indrayana, Tavip; Warijan, Warijan; Siswanto, Joni
Jurnal Studi Keperawatan Vol 1, No 1 (2020): March 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (896.06 KB) | DOI: 10.31983/j-sikep.v1i1.5646

Abstract

ABSTRACTBackground : Joint flexibility decreases in old age due to a degenerative process resulting in changes in joints, connective tissue and cartilage in the elderly. Decreasing flexibility is also due to reduced elasticity of muscle fibers, where connective tissue in muscle fibers increases (Mariyam, 2008).Objective : The aim of this study was to analyze the effect of active exercise (ROM) on the lower extremities on increasing the flexibility of the knee joint in the elderlyMethods : This study using a quasi-experimental approach with One group pre-test and post-test design. The sampling technique uses the Slovin method of 42 people, obtained a sample of 25 elderly. Exercise is done twice a day for 8 days. Measurements were made on day 1, day 4 and day 8 of the study using a Goniometer measuring instrument..Result : The results of measurement I average of the right knee joint 117.52o, measurement II = 122.24, measurement III = 126, 36o. From the analysis with Paired simple t-Test between the measurements I and II, it was found that the different test measurements I and II t count value was equal to -1.908 with 0.068. Because sig 0.05, it can be concluded that Ho is accepted, meaning that the average angle of ROM before and after training is the same (not different). In the different test measurements II and III the value of t count is equal to -2.152 with sig 0.042.Conclusion : Because sig 0.05, it can be concluded that Ho is rejected, meaning that there is a difference in ROM angle after training between days 4 to 8 with the first day to day 4. Thus it can be stated that active ROM exercises affect the angle of ROM of the knee joint elderly after exercise ROM between day 4 to day 8. Keywords: active ROM exercise, flexibility of knee joint, elderly.
Tingkat Kecemasan Perawat dalam Menangani Pasien Covid-19 di Wilayah Kabupaten Blora Dwi Juliantina; Epi Saptaningrum; Nella Marsela; Nunuk Wahyu Astuti; Nia Dwi Astuti; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9600

Abstract

Nowadays, the world is still at the time of the COVID-19 pandemic, where cases are still increasing every day. Nurses as the front line in treating COVID-19 patients have a major role in providing direct services to patients. Therefore, nurses are at high risk of dealing with psychological conditions such as anxiety. Nurses who are directly involved in handling and treating COVID-19 patients are at risk of experiencing psychological issues. Method: This research is descriptive research using a cross-sectional with a survey via google form. The population in this research were nurses at Three Blora District Hospitals, they are  RSUD Dr. R. Soetijono Blora, RSU Permata Blora, and RSUD Dr. R. Soeprapto Cepu. Researchers will use a sample of 20 nurses in each hospital. Results: The results of the analysis of the data collected from the 40 COVID-19 nurses revealed that 52,5% of the respondents experienced mild anxiety; 27,5% had moderate anxiety; 10% had severe anxiety; while 10% did not experience any anxiety. Covid-19 nurses who are women, 35-45 years old, Diploma Three of Nursing tend to have higher levels of anxiety. Conclusion: Marital status, hospital support and depression levels are the factors that affect the level of anxiety among COVID-19 nurses in hospitals. Hospital support is a significant factor affecting anxiety levels.Keywords: Covid-19, Nurses, Anxiety.
Pengelolaan Defisit Pengetahuan Pada Lansia Dengan Diabetes Mellitus Type II Di RSUD Dr. R Soetijono Blora Zainal Abidin; Anita Puspitasari; Agus Prasetyo; Warijan Warijan; Tavip Indrayana
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9604

Abstract

Latar Belakang: Prevalensi lansia dengan diabetes mellitus di Indonesia tahun 2021 menduduki 10,3 juta dan meningkat pada tahun 2045 sebesar 16,7 juta. Manajemen diabetes tipe 2 adalah diet sehat, meningkatkan aktivitas fisik dan menjaga berat badan, obat oral dan insulin untuk mengontrol kadar glukosa darah. Defisit pengetahuan diet, minum obat dan olahraga berhubungan dengan keterbatasan kognitif lansia ditandai dengan pasien mengatakan tidak mengetahui cara penanganan diabetes dengan benar sering didapati dilapanganTujuan: Menggambarkan asuhan keperawatan diabetes mellitus pada lansia dengan fokus studi pengelolaan defisit pengetahuan di RSUD Dr. R Soetijono Blora. Metoda: Rancangan penelitian ini menggunakan pendekatan penelitian deskriptif, melalui studi kasus dan menggunakan pendekatan proses keperawatan. Pengumpulan data dilakukan dengan wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi keperawatan. Hasil: Setelah dilakukan asuhan keperawatan lansia selama tiga hari, di dapatkan hasil klien memperoleh peningkatan pengetahuan spesifik tentang diabetes mellitus (diet, minum obat dan olah raga) dan mengetahui cara penanganan diabetes dengan benar. Saran yang diajukan, agar keluarga melakukan pendampingan tentang cara penanganan diabetes pada klien lansia. Kata kunci: Diabetes mellitus, lansia, defisit pengetahuan.
Pelaksanaan Komunikasi Situation Background Assessment Recommendation (SBAR) Dalam Kegiatan Timbang Terima (Hand Over ) Di Ruang Perawatan Siti Mutmainah; Heru Purnomo; Muawanah Muawanah; Teguh Wahyudi; Sugianto Sugianto
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9540

Abstract

Latar Belakang: Komunikasi dalam praktek keperawatan professional merupakan unsur utama bagi perawat dalam melakukan asuhan keperawatan untuk mencapai hasil yang optimal. Kegiatan keperawatan yang memerlukan komunikasi Situation Background Assessment Recommendation (SBAR) salah satunya adalah  Komunikasi saat serah terima tugas ( Overan).Tujuan: Diharapkan penelitian ini bisa dijadikan referensi dalam melakukan komukasi SBAR dalam melaksanakan timbang terima (Hand Over) untuk meningkatkan keselamatan pasien di Rumah Sakit dan mengetahui gambaran pelaksanaan komunikasi SBAR dalam kegiatan timbnag terima di ruang perawatan Rumah Sakit.Metode: Metode yang digunakan dalam penelitian ini menggunakan telusur jurnal dengan Google scholar, Science direct dan Pubmed.Hasil : Setelah dilakukan analisis artikel, 8 artikel menunjukkan bahwa, ada pengaruh dan hubungan komunikasi SBAR dengan pelaksanaan timbang terima (Hand Over).Simpulan : Komunikasi SBAR sangat efektif saat dilaksanakan dalam kegiatan timbang terima (hand over).
Pengelolaan Anak Dengue Haemoragic Fever dengan Fokus Studi Defisit Volume Cairan Joni Siswanto; erni nuryanti; Siti Kistimbar; Dhelya Novita; Yuni Astuti
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9544

Abstract

Latar belakang : Dengue Haemoragic Fever (DHF) adalah infeksi yang disebabkan oleh virus dengue. Virus ini ditularkan dari orang ke orang melalui gigitan nyamuk Aedes Aegepty.Bahaya DHF jika tidak tertangani dengan baik dapat terjadi kerusakan otak, kerusakan hati, kejang dan syok. DHF tidak hanya menimbulkan gejala biasa namun disertai juga dengan gejala seperti hipotensi, kesulitan bernapas, denyut nadi melemah, berkeringat dingin dan pupil mata melebar. Kondisi ini tidak bisa sembuh hanya dengan dibiarkan. Pasalnya DHF bisa menyebabkan kegagalan fungsi organ, sehingga mungkin bisa berujung pada kematian.Tujuan : Mampu melaksanakan asuhan keperawatan pada pasien DHF dengan Defisit Volume CairanMetoda : Metode yang digunakan dalam memberikan asuhan keperawatan menggunakan metode deskriptif dengan pendekatan studi kasus dan menggunakan proses pendekatan keperawatan.
Pengaruh Terapi Normalitas atau Suportif-sugestif terhadap Kesembuhan Pasien Post Psikotik di Puskesmas Medang Suhardono Suhardono; Taryatmo Taryatmo; M Nor Mudhofar; Tutik Setyowati
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9584

Abstract

Latar belakang, kenyataan banyak pasien pos psikotik yang menganggap dirinya tidak sakit, menolak tindakan pengobatan, hal ini perlu intervensi untuk mencapai kesembuhan. Terapi normalitas merupakan salah satu alternatif dengan cara membiasakan dan mempertahankan sikap “normatif” dalam keseharian, antara lain mampu melaksanakan belajar, bekerja, bermain dan bercinta sebagaimana layak orang sehat jiwa seminimal mungkin bantuan orang lain.Tujuan, menguji kesesuaian terapi normalitas terhadap populasi. Validitas intervensi, telah diujikan pada 20 subjek halusinasi di RSJD Semarang. Hasilnya, uji statistik t-test menunjukkan p = 0,000. IK 95%, (Ho ditolak dan Ha diterima), dan 46 subjek di sosial kemasyarakatan yang sama, hasil uji statistik Mann-Whitney menunjukan p = 0,000. IK 95%, (Ho ditolak dan Ha diterima), maka simpulannya; Generalisasi fungsi terapi normalitas benar, terpenuhi.Metode, eksperimen, menerapkan metode “Quasi-eksperimen nonequivalent (pre-test and post test control group design”, Penentuan responden menggunakan; Consecutive sampling, sampai 36 sampel terpenuhi. randomisasi dengan pemetaan, skema rumah tinggal pasien, dengan menjatuhkan pensil ke dalam skema. Alat ukur penelitian kesembuhan pasien kuesioner yang dikembangkan peneliti. Peneliti memberikan 3 kali sesi terapi individu, selama 15 – 20 menit dan 1 kali sesi terapi keluarga selama 30 menit, selama penelitian.Hasil, kemampuan keluarga melakukan pencegahan kekambuhan pada anggota keluarganya yang mengalami gangguan jiwa, hasilnya menunjukkan tingkat signifikansi sebesar 0,1 0,05. Kemampuan klien melakukan pencegahan kekambuhan atau masih ada gejala sisa skizofrenia tidak atau kurang  penting meskipun masih membutuhkan kajian lagi. Prinsip yang penting (utama) tampil selalu normal (normatif) agar seiring perjalanan waktu tampilan klien sehari-hari tidak aneh lagi, mejadi peduli mengurus dirinya sendiri dan perlunya memenuhi kebutuhan sosial serta pentingnya berhubungan dengan orang lain.
Asuhan Keperawatan Jiwa Gangguan Persepsi Sensori Halusinasi Pendengaran Dengan Diagnosa Medis Skizofrenia Tak Terinci Di Rumah Sakit Jiwa Daerah Dokter Arif Zainudin Surakarta Divana Indra; Cipto Cipto; Siswoko Siswoko; Kuswanto Kuswanto
Jurnal Studi Keperawatan Vol 4, No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10175

Abstract

Background: Mental health is when a person feels healthy and happy, is able to face life's challenges and accept others as he wishes, and has a positive attitude towards himself and towards others. So it requires a more serious handling. One of the mental disorders is schizophrenia. In clients with mental disorders, one of the symptoms that is often found is hallucinations. Hallucinations are synonymous with schizophrenia. All clients with schizophrenia experience hallucinations.Method : The method used in this case study is a narrative method which includes the implementation of nursing care for both patients with auditory hallucinations, the analysis is continued with discussion and results to get an overview between theory and practice of nursing care for both respondents.Results: After nursing actions were carried out for four meetings which were carried out to two respondents to control the hallucinations experienced by patients. At client evaluation Mr. E Mr. M strategies one through four can be carried out with an evaluation the client can re-do strategies one through four.Conclusion: Patients who experience auditory hallucination sensory perception disorders can be given nursing care by implementing strategies 1 to 4 as well as family support to support the patient's recovery.Keywords : mental disorders, audiotory hallucinations, nursing care
Efektivitas Teknik Elevasi Ekstremitas Bawah Dalam Proses Pemulihan Ketidakefektifan Perfusi Jaringan Perifer Pada Ulkus Diabetikum Lilik Suprasno; Heru Purnomo; Mu awanah Mu awanah; Muhamad Nor Mudhofar; Suhardono Suhardono; Rozza Rian Oktalina
Jurnal Studi Keperawatan Vol 4, No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10199

Abstract

Diabetes Melitus menyebabkan angka kematian dan kesakitan di dunia meningkat dikarenakan penyakit Diabetes Melitus dapat mengakibatkan berbagai komplikasi seperti gangguan vascular perifer ekstermitas bawah pada penderita Diabetes tipe 2. Gangguan aliran darah perifer menyebabkan nekrosis jaringan dan iskemia perifer, sehingga beresiko terjadinya ulkus kaki diabetik. Salah satu permasalahan yang muncul adalah ketidakefektifan perfusi jaringan perifer. Dengan latihan elevasi ekstermitas bawah diharapkan dapat melancarkan sirkulasi perifer dan mempercepat proses penyembuhan ulkus kaki diabetik.Tujuan penelitian mendeskripsikan efektivitas teknik elevasi ekstremitas bawah dalam proses pemulihan ketidakefektifan perfusi jaringan perifer pada Ulkus Diabetikum.Metode yang digunakan dalam penelitian ini adalah metode deskriptif dengan pendekatan studi kasus yang memfokuskan pada intervensi teknik elevasi ekstremitas bawah dalam proses pemulihan ketidakefektifan perfusi jaringan perifer pada pasien dengan Ulkus Diabetikum.Hasil dan pembahasan didapatkan bahwa tindakan observasi yang dilakukan peneliti pada dua responden dengan Ulkus Diabetikum dan Peneliti melakukan intervensi elevasi ekstremitas bawah selama tiga hari (sehari 1 kali) selama 10 menit dan kemudian melakukan evaluasi dengan pengukuran ABI (angkle brachial index) selama 5 menit  setelah dilakukan Latihan Elevasi Ekstremitas Bawah. Dengan hasil menunjukkan adanya perubahan pada sirkulasi perifer dan sesudah dilakukannya Teknik elevasi ekstremitas bawah. Latihan Teknik elevasi ektremitas dapat meningkatkan suplai darah ke area Ulkus Diabetikum.Kesimpulan penelitian ini didapatkan bahwa latihan  teknik elevasi ekstremitas bawah efektif dilakukan Dalam Proses Pemulihan Ketidakefektifan Perfusi Jaringan Perifer Pada Ulkus Diabetikum. Kata Kunci: Ulkus Diabetikum; Teknik Elevasi Ekstremitas Bawah; ABI
Gambaran Penanganan Inkontinensia Urine Pada Lansia Di Keluarga Di Wilayah Puskesmas Jepon Kabupaten Blora Abidin, M. Zainal
Jurnal Studi Keperawatan Vol 4, No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10322

Abstract

ABSTRACTBackground: Urinary incontinence is a common health problem in the elderly. Even though the family feels ashamed, they think that something that naturally happens to the elderly does not need to be addressed. Urinary incontinence can cause various health, social, psychological problems and can reduce the quality of life of the elderly in the family.Purpose: This study aims to get an overview of the management of urinary incontinence in the elderly in families in the Jepon Community Health Center, Blora Regency.Research Methods: The design of this research is phenomenological qualitative, with explorative descriptive design. The data obtained was processed using the Collaizi technique, consisting of seven steps. The number of participants in this study were four elderly people aged ≥ 80 years.Results: The results show that there is a lack of knowledge about urinary incontinence, urinating anytime, anywhere and cannot be controlled, the lack of effective ways to prevent urinary incontinence, the lack of education about how to treat it from health workersConclusion: The need for socialization and counseling about urinary incontinence, prevention and care for the elderly in the family.
Effectivenes Of Puzzle Play Therapy To Reduce Anxiety, Case Study In Pre-School Age Children Who Undergo Chemotherapy At Rsup Dr. Kariadi Semarang Sutarmi Sutarmi; Siti Musyarofah; Warijan Warijan; Tavip Indrayana; Joni Siswanto
Jurnal Studi Keperawatan Vol 4, No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10323

Abstract

ABSTRACTBackground: Children with cancer will undergo various treatments and the most common is chemotherapy. Chemotherapy and repeated hospitalization make children uncooperative with health workers and anxious. One of the cooperative and collaborative efforts that can be done to overcome children's anxiety is by playing puzzle therapy. Purpose: Knowing the effect of the application of puzzle play therapy on reducing anxiety in preschool children (3-6 years) undergoing chemotherapy during hospitalization. Methods: Case study design based on inclusion and exclusion criteria. The number of respondents was 3 clients. Observation using the instrument of measuring the level of anxiety Preschool Anxiety Scale Revised (PASR). The intervention was carried out for 10-15 minutes 1 hour before chemotherapy. Discussion: There were 3 respondents aged 3-6 years, most of them were women who did not receive chemotherapy for the first time. 2 out of 3 clients experienced severe anxiety and 1 client experienced moderate anxiety, the child seemed to cry, was silent, avoided eye contact, looked tense. After the puzzle play therapy intervention, 2 clients experienced moderate anxiety and 1 client experienced mild anxiety, the three clients seemed calm, didn’t cry, tensed less. Recommendation: In this case study the application of puzzle play therapy can reduce the anxiety level of preschool children undergoing chemotherapy with hospitalization. It is hoped that by carrying out this case study, it can add insight, references, and innovations in non-pharmacological actions for preschool children who are undergoing chemotherapy with anxiety.Keywords: anxiety level; pre-school; chemotherapy; hospitalization; puzzle play therapy.

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